Diagnosis and Management of Acute Osteoarticular Infections: Summary of New Guidelines.

IF 1.6 Q3 PEDIATRICS
Kate Shapiro, Maria A Carrillo-Marquez, Sandra R Arnold
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引用次数: 0

Abstract

Acute hematogenous osteomyelitis (AHO) and acute bacterial arthritis (ABA) are among the most common invasive bacterial infections in otherwise healthy children. The diagnosis of AHO and ABA requires a high index of suspicion in children presenting with fever and musculoskeletal pain and judiciously chosen laboratory and imaging studies. Choosing the appropriate empirical antibiotic requires familiarity with local susceptibility patterns, especially for Staphylococcus aureus. Typical antibiotic duration for osteoarticular infection is 2-4 weeks depending on the type of infection, response to therapy, and presence of complications. Transitioning from parenteral to oral antibiotics is guided by clinical and laboratory evidence of resolving infection. This review will provide an overview of the recommendations contained in the 2 recently published guidelines for the management of AHO and ABA.

急性骨关节感染的诊断和治疗:新指南摘要。
急性血液性骨髓炎(who)和急性细菌性关节炎(ABA)是健康儿童中最常见的侵袭性细菌感染。世卫组织和ABA的诊断需要对出现发烧和肌肉骨骼疼痛的儿童进行高度怀疑,并明智地选择实验室和影像学检查。选择合适的经验性抗生素需要熟悉当地的药敏模式,特别是对金黄色葡萄球菌。骨关节感染的典型抗生素持续时间为2-4周,具体取决于感染类型、对治疗的反应和并发症的存在。从肠外抗生素过渡到口服抗生素是由临床和实验室证据解决感染的指导。本次审查将概述最近出版的两份世卫组织和非洲药物管理局管理指南中所载的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatrics in review
Pediatrics in review 医学-小儿科
CiteScore
1.30
自引率
0.00%
发文量
109
期刊介绍: Pediatrics in Review (PIR) is the American Academy of Pediatrics’ monthly peer-reviewed continuing medical education journal, designed to keep the general pediatric clinician current in all areas of pediatric medicine and to assist those participating in the Maintenance of Certification program of the American Board of Pediatrics (ABP). The journal is one of the key components of the Academy’s continuing medical education program: PREP® (the Pediatrics Review and Education Program). Together, PIR and the PREP Self-Assessment comprise PREP The Curriculum®. Each PIR review article includes quiz questions formulated by topic experts.
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